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Interactions médicamenteuses

Atidarsagene autotemcel + Didanosine

Gravité: Majeure

Atidarsagene autotemcel and Didanosine: major interaction.

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Résumé

Antiretrovirals may impair lentiviral transduction of the patient's collected hematopoietic cells and so interfere with manufacture of the gene therapy. This could reduce the product's effectiveness.

Ce que signifie cette interaction, en termes simples

Atidarsagene autotemcel and Didanosine can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.

Atidarsagene autotemcel belongs to Miscellaneous; Didanosine belongs to Anti Virals.

Niveau de preuve: Moderate

Pourquoi elle survient

Reverse transcriptase inhibitors can interfere with lentiviral vector transduction during cell manufacturing.

Conduite à tenir

Stop didanosine at least 1 month before cell mobilization, or longer to allow for elimination, and keep it off through apheresis. Arrange alternative HIV management with a specialist.

Questions à poser à votre pharmacien

  • Does the benefit of taking both outweigh the risk in my case?
  • Do I need any blood test, ECG or other check while on both?
  • What early warning signs should I watch for, and what should I do if they appear?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Questions fréquentes

Can I take Atidarsagene autotemcel with Didanosine?

MediHelp rates the interaction as major. Atidarsagene autotemcel and Didanosine can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Antiretrovirals may impair lentiviral transduction of the patient's collected hematopoietic cells and so interfere with manufacture of the gene therapy. This could reduce the product's effectiveness.

How serious is the interaction between Atidarsagene autotemcel and Didanosine?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Stop didanosine at least 1 month before cell mobilization, or longer to allow for elimination, and keep it off through apheresis. Arrange alternative HIV management with a specialist.

What other medicines interact with Didanosine?

MediHelp also lists interactions of Didanosine with, for example, Elvitegravir / cobicistat / emtricitabine / tenofovir df, Hydroxycarbamide, Hydroxyurea. The full list is on the Didanosine page.

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